Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.79 / $425.83 / $1,211.21	Facility		$193.79	$425.83	$1,211.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $140.15 / $140.15	Professional		$121.12	$140.15	$140.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.63 / $316.30 / $674.82	Facility		$284.63	$316.30	$674.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.54 / $112.46 / $304.00	Professional		$105.54	$112.46	$304.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.44 / $632.03 / $759.06	Facility		$312.44	$632.03	$759.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $199.07 / $248.83	Professional		$199.07	$199.07	$248.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $234.84 / $288.10 / $569.98	Professional		$234.84	$288.10	$569.98
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $103.82 / $173.03	Professional		$72.67	$103.82	$173.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00